A link between dysfunction of the aggresome–autophagy pathway and neurodegeneration was first suggested by postmortem findings of the accumulation of Ub-positive protein aggregates and autophagosome-like structures in brains of patients with diverse neurodegenerative diseases, including PD and AD [
3,
35,
36]. This link was further strengthened by recent identification of mutations in the aggresome–autophagy pathway components as the genetic defects responsible for several hereditary forms of neurodegenerative disorders ().
| Table 1The aggresome–autophagy pathway components and neurodegenerative diseases |
Loss-of-function mutations in parkin are a major cause of recessively transmitted early-onset PD [
12,
13]. Our finding that parkin-mediated Lys
63-linked polyubiquitination of misfolded proteins promotes their sequestration into aggresomes and subsequent clearance by autophagy [
21,
26] provides evidence linking deregulation of the aggresome–autophagy pathway to PD pathogenesis. The impaired aggresome formation observed in cells from parkin-knockout mice [
21] is reminiscent of the lack of Lewy bodies in parkin-associated human PD cases [
13,
14], suggesting that Lys
63-linked polyubiquitination by parkin may be directly involved in the formation of Lewy bodies and that the inability to form these protective inclusion bodies may underlie the rapid disease onset and progression observed in patients with mutations in parkin. Accumulation of Lys
63-linked polyubiquitinated proteins was recently detected in brains of human HD (Huntington's disease) patients [
37], further supporting a connection between Lys
63-linked polyubiquitination and the formation of pathological inclusion bodies.
Mutations in the Ub-binding domain of p62, an adaptor that binds Lys
63-linked polyubiquitin chains and promotes autophagic clearance of protein aggregates [
28–
30], cause Paget disease [
38]. Although Paget disease is primarily a bone disorder, knockout studies in mice revealed age-dependent accumulation of Lys
63-polyubiquitinated protein aggregates and neurodegeneration in p62
−/− brains [
39]. Additional support for the involvement of the aggresome–autophagy pathway dysfunction in neurodegeneration comes from the following: (i) the identification of mutations in dynactin subunit p150
Glued, a component of the dynein/dynactin motor that plays a critical role in aggresome formation as well as autophagy [
40,
41], as the cause for human motor neuron disease [
42]; and (ii) animal model studies showing that disruption of the dynein/dynactin motor function leads to motor neuron degeneration [
43,
44] and enhanced toxicity of aggregation-prone proteins [
41]. Dysfunction of the aggresome–autophagy pathway has also been implicated in the pathogenesis of two human neurodegenerative diseases, frontotemporal dementia [
45] and ALS (amyotrophic lateral sclerosis) [
46], by the findings that the disease-causing mutations in the ESCRT (endosomal sorting complexes required for transport)-III subunit CHMP2B (charged multivesicular body protein 2B) cause impairments in autolysosome formation and autophagic clearance, leading to accumulation of Ub-positive protein aggregates and neuronal cell death [
47,
48].
Previously, it was reported that overexpression of HDAC6, a key regulator of the aggresome–autophagy pathway [
10,
25], is able to suppress neurodegeneration in
Drosophila induced by proteasome impairment or by expression of the spinobulbar muscular atrophy-associated mutant protein [
49]. Furthermore, pharmacological activation of autophagy with mTOR inhibitors has been shown to reduce neurotoxicity of misfolded and aggregated proteins in cell and animal models of neurodegenerative diseases [
8,
9,
50]. Together, these findings point to a critical role for the aggresome–autophagy pathway in the protection against misfolded protein accumulation and neurodegeneration, and they suggest that targeting this pathway may have therapeutic benefits for treating neurodegenerative disorders.